Efficacy of Continous Fascia iliaca block in Hip surgery in eldelrey : a randomized controlled clinical trial.

Document Type : Original Article

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Department of anesthesia and intensive care unit, Faculty of medicine, Ain shams university, Cairo, Egypt.

Abstract

Background: Worldwide, there is a rise in the number of older individuals having surgery for hip fractures, which is linked to high morbidity and mortality rates. By encouraging early ambulation, post-operative pain management plays a crucial part in reducing the morbidity and mortality of patients. Opioid and nonsteroidal medications used for systemic analgesia have the potential to have serious side effects, especially in elderly individuals. The use of continuous fascia iliaca compartment block (CFICB) in analgesia during hip fracture surgery is growing as a result of the benefits of fascia iliaca compartment block.
Patients and methods : A total of 26 elderly patients, aging more than 65 years old , ASA II, III, with hip fractures ,undergoing hip surgery, have been included in the trial. they were divided in two groups (13 patients each ) were included in the study. one group receiving continuous fascia iliaca compartment block and the other received traditional parentral analgesia.
Results: postoperative pain assessment both at rest and with movement using visual analogue score scale for 24 hours showed statistically significant decrease in patients receiving continuous fascia iliaca compartment block .
conclusion: continuous fascia iliaca compartment block provide significant post operative analgesia after hip surgery .

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Ain Shams Medical Journal
Volume 74, Issue 4
December 2023
Pages 967-978

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